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Technology can be used in many case senarios to execute a Medical Fraud like
1.Frauds in Claims Submitted to insurance companies like -
Claims for visits that never took place.
Fabricated claims for nonexistent medical facilities.
Claims submitted for Medical Equipments which were not used..
Claims submitted with higher cost than the actual agreed cost of procedure.
2. Frauds in Technologies of the HIS
Patients details can be hacked, misused
Details of procedures to be perfomed, can be altered, hacked..
Interchange of procedures of the patiets can lead to serious problems.
Fraud happens in any type of advanced technology.It can happen like we can post the stocks and keep pending for invoicing which stock position shows excess while doing physical checking these excess stocks can misuse. to avoid this every month stock in quantity vs stocks out quantity we have to match.
fraud happens every where but through advanced technology it can be revealed. the improper billing which the fraud committed can be stored in a system for a long time when the inspection will be done by the drug inspector he have to show all previous records which are saved through advanced software. fraud happens in billing when they done manual pricing by adjusting MRP..
